Against 13 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$1,179
+19.1% vs peer median
3rd highest of 14 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$5,167,987,458
35th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
317,953
37th highest of 51 states
Most recent CMS monthly report
Visible in claims
29.6%
+5.0% vs peer median
6th highest of 14 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Public-record research has been run on 27 flagged Kansas providers. No referrals; four individual exclusions confirmed with billing that ended before exclusion. Kansas's 2022 to 2023 move of community mental health centers to CCBHC per-diem billing under new NPIs explains most of the largest flags. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets — including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists — and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$8.4B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $1.2B / year
106.9M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 15.6M / year
5.3K
Distinct billing NPIs, Jan 2018 – Oct 2024
303
22 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $1.7B | 4.2M |
| S5125 | Attendant care service /15m | $1.2B | 11.0M |
| T2021 | Day habil waiver per 15 min | $805.3M | 2.1M |
| T1019 | Personal care ser per 15 min | $469.7M | 5.0M |
| T1040 | Comm bh clinic svc per diem | $458.5M | 1.7M |
| T1000 | Private duty/independent nsg | $298.7M | 621.9K |
| 99213 | Office o/p est low 20 min | $279.6M | 3.3M |
| H0036 | Comm psy face-face per 15min | $258.6M | 2.6M |
| T2025 | Waiver service, nos | $201.2M | 2.2M |
| T2046 | Hospice long term care, r&b | $173.9M | 587.3K |